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CAREMARK FLORIDA SPECIALTY PHARMACY LLC
CH04033U Jessie Trice Community Health System, Inc.
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Covered Entity Details
Entity Name
Jessie Trice Community Health System, Inc.
Subdivision Name
JTCHS - Corporate Office Complex
Type
HRSA-Funded Health Center
340B ID
CH04033U
Entity Address
5607 NW 27TH AVE
Suite 1
MIAMI, FL 33142-2826
Grant Number
H80CS00732
Participating Start Date
10/1/2014
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
CAREMARK FLORIDA SPECIALTY PHARMACY LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7930 WOODLAND CENTER BLVD STE 500
TAMPA, FL 33614
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Annie Neasman, President & CEO
(305) 805-1700 Ext: 1000
Contract Pharmacy Representative
CVS
Terita Peterson, Senior Director, Specialty Product Development
(813) 882-5550
Signed By Date
1/12/2018
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